| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,716 |
6,094 |
$397K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,087 |
1,425 |
$131K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
68 |
56 |
$40K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
701 |
495 |
$37K |
| S0612 |
Annual gynecological examination, established patient |
222 |
124 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
76 |
68 |
$6K |
| 81002 |
|
5,310 |
2,931 |
$4K |
| 76801 |
|
50 |
25 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
37 |
13 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
103 |
72 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
21 |
13 |
$1K |
| 81025 |
|
484 |
338 |
$748.52 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
22 |
12 |
$698.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
23 |
13 |
$499.33 |
| 99000 |
|
165 |
148 |
$6.30 |
| 99072 |
|
417 |
183 |
$0.00 |